Khalil Bisharat

NPI #1902297450 in Ammon, Idaho

Provider Information

NPI Number: 1902297450
Entity Type: Individual
Name: Khalil Bisharat
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 5, 2015
Last Updated: Feb 5, 2015

Practice Location

Address: 2705 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406-6601
Phone: (208) 346-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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